Businesses or other for-profit

Bridging the Digital Divide for Low-Income Consumers, Lifeline and Link Up Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support

OMB: 3060-0819

IC ID: 218853

Documents and Forms

Document Name Document Type
Form FCC Form 5630 Businesses or other for-profit Form
FCC Form 5630 Lifeline Annual Recertification Application Form FCC Form 5630 - Lifeline Program Annual Recertification Form (Rev.01.22.25).pdf Form
FCC Form 5631 Lifeline Household Worksheet FCC Form 5631 - Lifeline Household Worksheet (June 2023).pdf Form
FCC Form 5629 Lifeline Program Application Form FCC Form 5629 - Lifeline Program Application Form (Ver._Rev.01.17.25).pdf Form
IC 3060-0819 SCA Survey Form 9.19.24.pdf Other-Lifeline Program Survey Form